clexane and trial labour

Hi there, just wondering if anyone is in or has been in the same situation as me.

I have been taking 40mg of Clexane daily since I fell pregnant and I am now 27 weeks. I have a 20 month old and delivered her by c section and was not on Clexane throughout this pregnancy as I hadn't been diagnosed with antiphospholipid syndrome at that stage (it reared it's ugly head the pregnancy after resulting in miscarriage).

I am thinking about having a trial labour for this pregnancy and have been told they will let me labour for 6 hours and if I'm not progressing I will have a ceaser. I visitied the aneasthitist yesterday to discuss pain options etc and because of thre Clexane they need to wait 12 hours from when I last take an injection to when they will administer an epidural/spinal etc. If for some reason I go into labour having taken the injection less than 12 hours agoa nd the baby is in distress and I need a ceaser straight away I will have to be put under a general which I do not want.

So anyway I;m now back to thinking maybe a ceaser is a lot more risk free and so many things could go wrong taking the clexane and trying a labour....plus because I would have a blood thining medicine in my body my chances of bleeding are higher.

My husband really wants me to go for the ceaser and I'm not sure either way. Any suggestions???

Sorry so long winded!!

I think I would go with a planned c-sect too under those circumstances. A lot can happen in 12 hours and it would be sad if you had to go under a general and miss those first moments with your baby.

I guess it depends how much it matters to you to try and labour naturally.

Hi Itchyfeet, it can get all rather confusing hey, who said childbirth was a natural thing!

My Ob asked me what I wamted to do, didn't show a preference for either way. As part of the high risk clinic I will be monitored very closely whatever I decide.

I'm fine with the vbac it's the fact that I'm on clexane that worries me and my major concern is that I go into labour having recently taken an injection. It's not a given that we will even get to induction stage when we can then moniter our injection time, who knows we may go into labour before our due date so that's not something that is even reassuring me.

I think I would feel very cheated having a general and missing out on the birth, my ceaser with my daughter was due to high blood pressure but a very positive experience so going done that route doesn't phase me.

My husband, having been through 3 miscarriages with me and now this pregnancy with clexane and specialist appt's every 3 weeks just wants a healthy wife and baby and having been through a ceaser once can see what a positive experience it can be opposed to all the risks mentioned above.... hmmmm thinking my mind is swaying already.....

I have the injection every morning and in the first trimester was great, no bruising whatsoever, then I started to get bad bruising and lumps formed under the skin around the injection areas. This is all ok, they disappear in a few days. try Arnika cream for the bruising, it brings it out alot quicker.
Now I seem to bruise less although there is getting less skin to be able to grab as my tummy gets bigger. i have also started moving the injection sites around a bit, slightly above the original spot and also to the left a bit. that gave the lumps time to go away. Small price to pay for another bub.

How far are you?